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Highlighting Drug Industry Influence, Watchdog Says Overmedication in Nursing Homes Is Troubling

Nursing homes are unnecessarily administering powerful antipsychotic drugs to many elderly residents, including residents with dementia, according to a new report by the Health and Human Services inspector general.

The Food and Drug Administration in 2005 mandated that drug makers issue warning labels on atypical antipsychotics, noting that the drugs—which are generally FDA-approved for treating schizophrenia and bipolar disorder—increase the risk of death for elderly patients with dementia. Yet when the government examined 1.4 million Medicare claims from 2007 for atypical antipsychotics for elderly nursing home residents, the government found that 88 percent of the time, the drugs were prescribed to individuals diagnosed with dementia.

Doctors and nursing homes aren’t the only ones to blame, according to HHS Inspector General Daniel Levinson. The report itself does not specifically examine ties between doctors, pharmacies, and nursing homes, but in a statement accompanying the report, Levinson faulted drug companies for aggressively—and illegally—marketing these products to doctors for treatment of dementia and other off-label uses. (It’s not illegal for doctors to prescribe drugs for off-label uses, but it is for drug companies to promote them as such.)

“Despite the fact that it is potentially lethal to prescribe antipsychotics to patients with dementia, there's ample evidence that some drug companies aggressively marketed their products towards such populations, putting profits before safety,” Levinson said.

He noted that a number of drug companies have been accused of illegally promoting these drugs off-label to doctors and pharmacies, including those that serve nursing home residents. Some of the lawsuits have settled, but Levin said those settlements alone don’t negate the effects of years of off-label promotion.

“Money can't make up for years of corporate campaigns that market drugs with questionable benefits and potentially deadly side effects for vulnerable, elderly patients,” according to Levinson.

The report also faulted the Center for Medicare and Medicaid Services (CMS), the agency that oversees Medicare and Medicaid, for failing to hold nursing homes accountable for unnecessary use of antipsychotic drugs. Unnecessary uses can include inadequate rationale for using the drug as well as excessive doses, excessive duration, and inadequate monitoring of patients to whom the drug was given.

The report notes that the federal government paid more than $116 million for claims that violated Medicare reimbursement criteria. These claims were only for the first half of 2007.

The inspector general recommends that CMS assess its safeguards for preventing unnecessary antipsychotic drug use in nursing homes. The agency acknowledged that better controls were needed. In a letter to the inspector general, CMS Administrator Donald Berwick wrote that the agency is “very concerned about the nature of the contractual arrangements” involving nursing homes, the doctors and pharmacies that serve them, and pharmaceutical manufacturers.

We’ve reported on some of those ties in our series, Dollars for Docs. In particular, we highlighted the case of a psychiatrist who served Chicago-area nursing homes and made nearly a half million dollars promoting AstraZeneca’s best-selling antipsychotic.

We very recently had this issue with my mother in law who had been in a nursing home for many years. After several months of back and forth with the prescribing psychiatrist who seemed unwilling to illuminate these very types of medications, we were forced to fire the doctor. It’s frightening to think that someone who suffers from dementia and doesn’t understand what medications they are being given or comprehend the dangers, are not better protected by the medical community. Nursing homes in particular are looking to use medications to restrain clients rather than deal with them. I witnessed this myself nearly everyday at the nursing home, and families are completely in the dark. We all want to believe that doctors know better, but , hey folks guess what, they know but they don’t care.

I have seen this firsthand via two close relatives in nursing homes.  It is much easier for facilities with reduced staff to push drugs on their elderly residents as a form of pharmaceutical lobotomy.  Less trouble, fewer complaints…everybody wins.  Except for the senior who loses both their identity and their dignity.

Dr.Stephen R.Keister

May 10, 2011, 2:32 p.m.

As a 90 year old rheumatologist, retired for 20 years, I speak from my experience prior to 1990. Nevertheless, it would seem little has changed save for the medications. By-in-large nursing home residents receive only cursory care. They are seen (1)by their family doctor who hurries through while making his home calls, or (2) a physician employed as part-time ‘nursing home’ physician who had no prior contact with the residents, thus no one- to- one personal feelings. For an emotionally detached physician the course of least resistance is to medicate the patient. One will find exceptions to this in the non-profit, church run institutions, but the commercial “nursing homes’ (now called rehabilitation centers) are about primarily to provide their corporate owners with a good income. Why then the spectacular TV or newspaper ads promoting the corporate nursing homes?

I would suggest, if at all possible,looking into a good home health agency. Be sure and have a living will and power of attorney and be aware of local hospice services.

How do you deal with a person who screams 24 hours a day saying that “they are coming to get me”  and attacks people who are trying to reassure them? Or someone who bangs a tray of food on another woman’s head for “being in their way”.  When you work in a nursing home then you have earned the right to comment; if you dont, then dont pontificate on matters you know nothing of.

Personally, because I’ve dealt with my prescription drug addict mother and several of her doctors, I’ve always found Psychiatrists to be more like “Poisoners” as opposed to healers.  Many of them are in it, “just for the money”!

Robert W. "Doc" Hall

May 10, 2011, 2:50 p.m.

Would that staffs had more options than to zonk patients to sustain their own sanity at the potential expense of patient sanity. The prescribing physicians are abetting this inclination, and may be profiting from it. However, can we figure out what to do about the base situation that offers them these opportunities?

The studies showing that nursing home dementia patients are at increased risk of fatal cardiovascular events when prescribed antipsychotics are several years old.  In my experience, as a psychiatrist, we have stopped prescribing these meds for most geriatric patients for the past few years. 

Anyone who is still prescribing antipsychotics for dementia patients is taking a medicolegal risk, and is probably doing it because these meds do in fact calm people down, and there are not any other quick or easy methods to accomplish that. Some families will choose to take the risk because the agitation is such a disruptive experience in their homes.  Nursing home staff mostly do not know how to handle dementia patients to prevent agitation, or do not have adequate staff to manage these people properly. 

Agitation in dementia is a big problem, whether at home or in nursing homes.  The creativity and time that it takes to deal with dementia is often unavailable and it would be nice to have safe effective drugs to deal with this very difficult situation

Nursing homes are rife with fiscal measures and relationships that harm patients.  Yet, just because this prescribing practice has fishy links to pharma, we must not make the quick conclusion that these drugs are necessarily in the patients’ worst interests.  Science is not cut and dry.  With most medical treatments come trade offs.

When prescribing anti-psychotics to dementia patients, the benefits sometimes do outweigh the risk of death; few other effective treatments are available for dementia patients with aggressive and violent behaviors.  So, is the problem that these drugs are being overprescribed, or that we unfortunately have not yet developed better medications to handle aggressive dementia behaviors?  Maybe the problem is simply that there is not enough oversight in how the drugs are being administered and monitored.  Does Levinson provide suggestions for how this can better be achieved?

A health care reporter and caregiver for a loved one with dementia, I bow to the pharma Gods who created the anti-psychotics our loved one is on.  We thought long and hard about the risk of early death versus a longer lived life in and out of geriatic-psych wards for aggressive behaviors, and having caregivers (whether family or paid caregivers) living with fear and injuries inflicted during outbursts.  We chose to administer the anti-psychotics, closely monitoring the dosage under close supervision.  As a result, we all have a better quality of life.  Plus, the government is saving a lot more money paying for his prescription for in-patient gero-psych hospitalizations, not to mention the cost savings to society for the medical care of those our loved one might harm, and the potential litigation they could rightfully bring against us.

What ever happened to good old Valium. Benzo’s and barbituates are cheaper, safer, and proven effective.

Neuroleptics are the most dangerous drugs ever invented, and Big Pharma’s greed is driven at the expense of human suffering. Someday, we will look back at the time of “Anti-psychotics” and compare it with the Holocaust (and I am not exaggerating).

At the point where continued use of anti-pschotics on dementia patients is the solution, I for one would prefer euthenasia. I’m from Oregon and both the underlying Propublica story and a humane solution are old news.  I’m a caregiver for my 84 year old mother and have first hand experience dealing with this situation and also believe I will someday be faced with it.

I’ve been bringing professional entertainers to perform for nursing home residents for many years.  In recent years, when I try to arrange for a show, activity directors all to often tell me that most of the residents are put back to bed after lunch.  I believe this can be a result of overmedication or a simple way to make the care of residents easier if they’re in bed most of the time.  It’s greatly detrimental to the health of countless nursing home residents who are put back to bed when they should be getting as much mental stimulation as possible.

At my last show the nursing home (so called rehabilitation center) had 180 beds and around 150 residents.  Only 15 people were brought to our wonderful show.  I found one woman sitting alone in a dark room.  When I asked the aide why she wasn’t brought to the show I was told “She doesn’t speak English”.  The music would have been so uplifting whether one spoke English or not.

There should be an investigation into this terrible situation.

One who is familiar with nursing homes: family and having worked there.Agree with the physician about care. Money is number ONE; staff is cut and poorly paid—if one cannot be paid enough to care for themselves and family, how can they think to care about loved ones? Patient/staff ratio increase continually—there is no time to wash hands, patients are brusqued, get skin tears and falls, equipments are used incorrectly to shortcut time…. Patients can be awakened and out of bed at 5am for a 8 am breakfast; there is no way one stff can wake, dress toilet, groom 11 difficult patients adequately within one hour. See how long it takes you—an able person to do these things Then try to do this in -3 minutes for patients that are anything but able! B/c of course one has to do extra duties that are non-patient care—all the trashm clean out refrigerators, showers, etc b/c the company does not want to hire adequate household staff…or patient care staff. They sit in their wheelchairs asleep at the tables. There is not mouth care at all. People have mold growing in their dentures.. Period. There is not time. Be not fooled by “church” nomenclatures: the organization may not be “for proift” but within there are “extremely handsome profits made” by the upper echelons.

Tim Malloy, MD

May 10, 2011, 7:10 p.m.

Psychosis can be very distressing.  In general, the only effective treatments for psychotic patients (whether they have dementia or not) are antipsychotic medications.  These medications should be reserved for treatment of psychotic symptoms.  Unfortunately these medications are often misused to treat other symptoms that are sometimes grouped together with psychosis and referred to as “agitation”.
Wang’s article unfortunately sheds no new light on the subject and only serves to damage the reputations of nursing facilities and the people who try to provide responsible and decent care. 
By the way, there is no such thing as a “powerful” antipsychotic.  Does the author think that weak antipsychotics would be preferrable?

chemical_restraint

May 10, 2011, 8:32 p.m.

Real people should be paid for real care, not harsh nerve seizing drugs for agitation from dirty diapers and any other thing that would agitate anyone. My aunt was in a nursing home, she never would drink fluids unless it was a tasty juice and even then you had to tell her to drink her juice and watch her drink it. So she became dehydrated and then “agitated” and was immediately drugged with antipsychotics. We pulled her out of there so fast! She was in her late 80’s and could be called mild dementia but to us she was just old. She acted very bizarre coming off the drugs and then settled right down to her sweet old self. No one had time to actually look at my aunt and see what was really going on. We cared for her for five years and when hospice came to help with her passing the nurses were stunned that she was not on any drugs!

Thirty-five years ago the nursing home i worked in as a nurse was medicating some patients to make them UN-manageable. Why? Insurance paid more for these folks and the nursing home made more money from them. One nurse was fired and had complaint lodged with the state because she took some meds away and we found that some people who were up all night and wouldn’t sleep in their own beds—and had other problems that keep staff on their toes—became quite personable and well-behaved.
Has anything changed? Profit-making is the purpose of a business and the customers often are sacrificed on the altar of profit. Probably worse now than it was then.

“Nursing homes are unnecessarily administering powerful antipsychotic drugs to many elderly residents”

Doctors dictate medications, not nursing homes, and even if you use that sentence [undoubtedly for shock value] it should read All, Some, or a few - nursing homes, or better yet, the statistical percentage - say 15% or what number has been found to encourage over - medicating.

Families bring their relatives to these institutions because they are unwilling to care for them in their homes. There is no need to abandon the elder’s needs entirely, though. Families should assume the responsibility of monitoring the care plan and medications, and personally reviewing medications and procedures. If they have neither the time nor inclinations, they could hire an advocate or ombudsman to oversee their elder’s situation.

James B Storer

May 11, 2011, 11:27 a.m.

This is an important topic, and the wonderful comments so far are well stated and come from a variety of points of view.  “Walter’s” comment as to what do you do when subjected to 24 hours per day of screaming states a situation which eventually leads to a solution, right, or wrong, including anti-psychotics, and perhaps made by persons unqualified (whatever unqualified means).  The comment of “Caring Son” includes his feeling that euthanasia often becomes a preferred option, and I certainly do not condemn that view.  The environment in many of our nursing homes is not what we should tolerate in this wealthy country.
  There is a gap in the many reports on this topic, and especially concerning old age and dementia.  The elderly, when it becomes “nursing home decision” time, involve categories aside from strict medical care.  Many in this situation have outlived their family, or no family members are left who are themselves fit.  Many others realistically have no family to start with.  Those who do have a healthy family are often in a situation where the family would rather complain about the nursing home care than to pitch in themselves and help, such as keeping the person at home as long as possible.
  I got into a medical situation about three years ago with a diagnosis that I might live five to eight weeks.  I (age 78) am finally doing well, but I would not have survived much past the eight weeks if it were not for family.  The medical profession is not composed of gods.  They do their best, but could not be held solely responsible for my care twenty-four hours a day, which I required for two and a half years (mentally and physically).
  Somehow, there must be a turn-around in our thinking about caring for the elderly.  Family situations (both parents working, for instances) and community involvement today are far different from a few generations back.
  Skartishu, Granby MO

Hospice Nurse

May 11, 2011, 2:10 p.m.

I worked for a hospice agency that was owned by a corporation who owned the Nursing Homes that housed the patients and the pharmacy that provided all the drugs and the medical director of the facility was also the hospice medical director and of course the prescriber of all the meds. Most the patients I saw were formerly homeless, admitted from the city hospital so no family were involved and the lawyers who were their guardians would call the facility once a month or so for an update.
The corporate profit last year was 1.4 billion, they are in 7 states and growing.

My Mom is 89 . . .  She has been in the center of my living room for 7+ years . . .  A very capable soul that ended up with dementia.  It has not
been easy.  The job that I loved was left behind along with the salary.  We did with less.  On days when Mom sees little bugs running across
the living room floor with suit cases full of top soil . . . .  and she’s up
trying to catch them . . . .  I give her a few drugs.  This keeps her from
falling into the fireplace,  from breaking a hip.  It also makes her very
very sleepy.  I may medicate her 2-3 times in a month, but it’s
certainly worth it to have drugs as a remedy.  In visiting ‘care-type
facilities’  here, it does seem that many residents are zombies . . .
perhaps they’re further along than Mom, or perhaps they’re medicated.
  I can say that on “crazy” days, those drugs help me get a good
night’s sleep. .  .  .  and if I was caring for a dozen 89 yr old dementia patients without sufficient back up . . . I just might be
tempted to turn to the pharmacy . . .  God help me when I end up
in a home . . .

James B Storer

May 11, 2011, 6:22 p.m.

The comment, by “Beverly Joy,” includes that families should at least monitor the care and medications provided or hire an advocate or ombudsman.  The comment by “Hospice Nurse” points out that many very profitable nursing homes simply get a phone call occasionally by a lawyer appointed as guardian for a homeless patient.
  I would like to combine these two very pertinent comments into a suggestion that might help lead to a partial solution to the problem of the ‘uncared-for’ or homeless patient.  The appointment of a single lawyer as guardian is a totally ineffective solution.
Comments on another Pro-publica report a few weeks ago brought us into a discussion that seemed to favor a committee or panel (you name it) made up of various expertise to monitor actions of a government situation which is, by itself, doomed to perpetual failure.
  Along this line, perhaps nursing homes might be required to acknowledge and honor cooperation with such an independent community group in order to obtain or keep their nursing home license.  The panel would be required to submit, as a group, a monthly or quarterly report concerning each patient to the nursing home and to responsible government authority.  The panel would also be responsible to monitor medication.  Bear in mind, my words here are sketchy, and I have no specifics as to the makeup of such groups.
  Finally, we all tend to blame the patient who is indigent for not making prior financial arrangements for his situation, and so we should not worry about it.  Thinking on this is largely one of philosophy.  However, the truth is that, as a nation, we do not function in such an arena and we must, therefore, handle the situation that is before us.    Skartishu, Granby MO

The over medication of nursing home residents is only the beginning!  I have family members who work in nursing homes and the pressure they experience from management is intolerable!  Employees must produce so profits will result, they are constantly harassed. This is not only hard on the employees but what about the residents.  Patients can be at death’s door, but they must be given occupational therapy, physical therapy, thats how nursing homes make money.  Why is wrong with this Country that we let this go on!  I wonder where are our churches, why aren’t they speaking out for the elderly, the poor, our children all who are being hurt by our current group of narcissistic legislators!!  We have nothing wrong, we have nothing wrong, the greed of these legislators,corporations, and individuals like the Koch brothers are destroying this COUNTRY!  We need leaders who want to do what is best for all Americans.  I pray that before it is too late that leader will come forward!


This industry is where there are millions of jobs to provide good care to their residents.  Once again we are punishing Americans who have done nothing wrong

This isn’t only happening to those in nursing homes but to everybody. Doctors are putting little kids on these same anti-psychotics. It is an utter travesty that people are starting to wake up to. Our whole country is overmedicated. Big pharma is killing us.

Dr R RAMESH NAIK

May 13, 2011, 6:46 a.m.

Dear Sirs,
The problem is not with the Doctors. It lies in the policy of Governments in permitting Medical research in nursing homes and Hospitals, where patients under treatment will fall an easy victim to a National systems failure, inevitably because the policy makers are not practicing medical professionals, and do understand the professional secrets of the profession, including the unethical ones. There is an ethical demand on every medical professional to give the best of the available therapeutic agents to the patient under consideration.SOLUTION: Permit medical research only in specially dedicated & designated centers, where routine medical practice does not takes place.Bar all medical practitioners from participating in medical research.Ban all sponsored medical research by drug companies AND their subsidiaries.
THERE ARE EXCEPTIONS BUT DIFFICULT TO IDENTIFY!

The Ryan Budget Resolution would repeal nursing home standards, annual inspections and the enforcement process required by Medicare and Medicaid. People better wake up before it’s too late!

My father recently passed away about a month ago.  His memorial service for the burial of his ashes is this weekend.  I personally feel that the use of antipsychotics directly contributed to his early demise.  He walked 3 miles a day at a local mall and swam 1 mile a day at the YMCA.  He had other contributory health issues yes, but the antipsychotics are what started the downward spiral.  Basically, we took to staying with him overnight as we knew something wasn’t wrong.  He was walking within 3 days of his operation, but was agitated in the evening and at night due to sundowners a related symptom of early onset dementia.  He was high functioning during the day but did become somewhat illogical but not combative late in the evening, but he definitely knew what was happening all the time but his ability to rational understand and suffered a bit in the evenings, but his short term memory was still there.  He also had impaired liver function due to Hepatitus C acquired while in the Air Force fighting during the Vietnam War. 

The family physician prescribed antipsychotics from about day 2 or 3 of his stay.  I have the records but not handy.  Over the length of a week to a week and a half, he went from a vital quickly recovering patient with some agitation in the evenings to a comatose patient with bedsores and a staph blood stream infection that was resistant to many standard antibiotics.  A family member was there during the day and sometimes during the evening, night and morning.  Did the family doctor ever mention this to the family?  No.  My brother confronted him and he asked my brother where he got his medical degree.  In my opinion, this was very unprofessional. 

I personally wonder where these doctors got their degrees.  If I can figure out that someone with an impaired liver function might have problems removing drug residues from their system, why can’t a doctor.  We had them put in his records to not use a class of antipsychotics and he just used a different class with similar sideeffects.  We finally had to put in a blanket statement to not use antipsychotics, mood modifiers and sedatives without, notify the family and included all of our cell phone numbers.  It took us about one and a half weeks to get to this point once we initially found out about it.

By this time he could no longer walk, his leg muscles were tight and hard to flex and he couldn’t stand, let alone walk.  He went into rehab but developed an arrythmia likely due to the sepsis as the Staph was growing on his heart valve. 

That was the how it worked over 3 and 1/2 months.  He would start to get better but he would get an arrythmia or another infection.  Finally, at the end we got him in a good nursing home that started the rehab process for real, his bedsores started to heal and he then developed an arrythmia, this is while they were treating another blood stream infection.  This was basically the end of the story.  It was like 1 step forward and 2 steps back and he finally became too week.  The initial antipsychotics started the downtrend and I hold that doctor responsible.  If he didn’t have anything to hide, why did he avoid the family who was there for at least 8 hours every day and sometimes were there all day and night.

Stephanie Palmer

May 13, 2011, 9:49 a.m.

My experience with all kinds of medications is that they alter my cognitive abilities and make me act and think like something I don’t even recognize.  I’ll take penicillin and maybe an aspirin. I will take no other drugs. I believe they do far more damage than just the ridiculous contraindications shown on their labels, or better yet, those spoken on TV.  I can’t believe anyone actually has the nerve to repeat those contraindications.

Yes indeed!
SavaSenior care was involved in a DOJ kickback settlement that involved Omnicare and Johnson & Johnson. The record of poor care that preceded SavaSenior care at Mariner facilities is just another example of corporate shell games.

A nursing home blog asks:
What kind of penalty is $14 million when they have stolen millions more from Medicare and Medicaid?  Why did the DOJ make the now defunct Mariner pay but not their successor Sava Senior Care?  Why did they allow the Complaint to be dismissed before the settlement?  Why did they allow Forman and Grunstein, the masterminds behind the illegal scheme deny any responsibility or wrongdoing?  Why didn’t they make Forman and Grunstein pay the kickback back to Medicaid and Medicare?

In the state of Colorado, where my father lived in a SavaSenior Care facility, overmedication with psychiatric drugs was the norm. Add in “enhancer antidepressants” to the list.

Long term and end-of-life and care is a money making industry without regulatory teeth or consumer protections.

Social workers( i am not one) will tell you that families place their loved ones in nursing homes when illness is advanced and intensive care is necessary to sustain their lives.Families place people in nursing homes at a stage that restorative therapy is futile and only life sustaining ( or death prolonging) efforts can be implemented.  Comments such as: ” they were fine until they entered the nursing home” are too silly to even comment on; they are similiar to statements that: “they were well until they entered the hospital”.
The chances are that once a senile person develops dangerous or distrbing behaviors they are already at risk for dying and many times medication to calm people will increase the quality of their lives, though associated with serious side effects. These medication may be analagous to the use of morphine which decreases the duration but improves the quality of life. This not to argue that everyone should get morphine or tranquilizers but that in a select group of people they are helpful.
Nursing homes are the second most common place of death in the US and it would seem to me that everyone in such a place should expect a complicated death, since we prolong dying as long as possible nowadays.  Families who try to take care of old people at home will find that the law will come and charge them with neglect if an older person loses weight, breaks a bone, wanders out of the home or develops bedsores.

Anyone who believes that a nursing home would be charged with neglect if a patient loses weight or developes bedsores is dreaming. You could call the department of health 100 times to report abuse of your family member, and nothing will get done. Even in the best case’s where the patient hires a lawyer after the patient dies from abuse, the nursing homes pay a small fine, and nothing changes. If you don’t believe me, just start looking up elderly abuse on the internet, there are hundreds of blogs from family members all over the country who write about it. And there are twice as many patients without family who it happens to as well. Giving morphine to patients to control them is not done for the patient, the Doctor does not go out to evaluate a nursing home patient before putting the patient on tranquilizers. It is the nurses who recommend it because they have too many patients they need to deal with and don’t have time for one on one. Or in the case of hospice nurses, in spite of their brochures claiming 24/7 care, those nurses don’t want to be bothered after hours, they have to get up for work the next morning.
It would be more humane to just drop our elderly off in the woods and let them wander off.

Yes, indeed, Beverly Joy, it is the doctors who prescribe.
What does that tell you about the doctors? Many I saw dropped into the home once a month, scanned a chart, poked a head in a doorway, saw the resident was still breathing, then left for the next room, before writing the same Rx for one more round. No doubt charging plenty for the ‘house call.’

sp8, I’m so sorry for your situation and for those of many others.  People keep telling me this is a civilized country, but our care of and interest in the welfare of our old people and their families indicates otherwise to me. Korea and Japan honor their old people. Sound like better retirement countries to me.

seniorsliving

June 16, 2011, 2:25 a.m.

i am really greatful that some like u are getting along side.
http://seniorslivinghome.com/
senior home

To the person who said was disbelieving of anyone who said they were fine before they entered the hospital, it was a kidney bypass as a precursor to a stent for a lower abdominal aortic aneurysm.  Serious problems but not contributory to his continuous downfall.  From walking within 3 days of his operation to bedridden due to drugs, and you are defending the doctor?  One of the doctors there told us that many of the drugs given my father were appropriate and a few were not but that the best treatment would have been to get him to his home where his surroundings were familiar.  That was our goal too, but the drugs directly prevented that.  The other doctors that I spoke with agreed that his hepatitis C contributed to his impaired liver function leading to significant overdoses of drugs.  As I said, if I can figure it out, why can’t a doctor with a medical degree?

seniorsliving

Aug. 11, 2011, 2:25 a.m.

Realy would like to say thanks to all of you guys. Shairing Knowledgeble information here.
<a >adult day care</a>
.(JavaScript must be enabled to view this email address)

It is quite often that drug industry is booming at the present time and this is all due to the overall contribution of the medical practitioner who often prescribe more and unwanted medicine just for some penny. But this is actually harming the patient and often hamper the reputation of the nursing home or hospitals. This must be dealt strictly as far as I think.
Regards
http://www.comfortlife.ca/

I have worked as a nurse in care homes for years and now am hardly working because of the elder abuse I cannot stand to be around!I know I need to report it to authorities.I have tried 3 bosses who shrug it off and are really very uncompassionate themselves..so many people in this line of work should not be..they are verbally and physically abusive.I have seen people drugged to death and all under the guise of them being a risk to the other residents..it starts with the drugs..then more drugs..and then I would come on shift after being off for many days and find out that nurses were forcing these drugs down the throat of a resident who couldn’t even swallow anymore!This was a resident who came to us walking many miles a day..I cannot even pretend that care homes are a good place for the elderly..I am a Christian and I don’t like to make waves but people..PLEASE do not send your elderly to care homes..they are so often not what you see when they are admitted.There is (in my experience)always verbal abuse and putdowns..but that’s only the beginning..The Lord help those who have an outburst or complaint..if they strike out (many times with good reason)it could be a death sentence by drugs..Believe me I have been there and I have seen it..I do think there is a place for drugs,but it is so abused in a care home that it is horribly sad..what gives us the right to treat our elderly like garbage??It makes me cry to think about it..many nurses are to blame who have no compassion,no understanding..ladies and gentlemen..guess what..you will get old…....

I am currently in the process of writing a paper for school involving the over-medication of patients by psychiatrists. I had a friend whom had an array of emotional problems which led to extreme substance abuse. She got clean and saught help from counselor then later was refered fo a psychiatrist. The psychiatrist prescribed her an assortment of drugs including adderrall, an amphetamine. She is a recovering meth amphetamine addict and relapsed a short time later. I know this is off the original topic but maybe someone can provide me with some insight on how this had happened. Are psychiatrists required to do a background check? If one has no previously recorded criminal history involving drugs, aren’t the psychiatrists supposed to take time before handing out dangerous narcotics?? I came across this article when trying to find answers. It seems that plenty of you are quite educated on the subject. A brief explanation would be much appreciated.
Thanks

I have been looking for richmond retirement homes for my mom. I will definitely do my research before getting her into one. I would hate if she was given too much medication. Thanks for the information.

Carolyn Dunning

June 26, 2013, 11:09 a.m.

Has anyone read the book “Gut and Psychology Syndrome” by holistic neurologist Dr Natasha Campbell McBride or watched her interviews on Youtube “minddfoundation” channel or on Mercola.com? See website “gaps.me” which explains how to reverse the symptoms of autism and other disorders simply by a diet baptised GAPS diet because it fills in a gap in medical knowledge. And has anyone tried giving 3 tablespoons/day of coconut oil to their aged loved ones? See on Youtube Dr Mary Newport`s work with her husband Steve, recovering from Alzheimer and her report on Ketone, the substance in coconut oil which counters brain diabetes.  Many other anecdotal cures, “Bruce Flett recovering from dementia” for example “Dementia Reversal with Coconut Oil - in an 85 yr old at 35 days”. Wake up gentle people, there is still hope! and lots of research to do, it`s easier than you think!

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